| NPI | 1134832447 |
|---|---|
| Other Name | CHUN TAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QP0002X Family Medicine, Physician Nutrition Specialist (Licence: WA MDRE.ML.70113053) |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2026-06-20 |